PETER DANIEL JURISICH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107272

License Status

NOT RENEWED

Business

First Name

PETER

Middle

DANIEL

Last Name

JURISICH

Suffix

Business Name

PETER DANIEL JURISICH DO

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

07/31/2005

City

OVERLAND PARK

State

Zip

66213

County

KANSAS

Ever Disciplined

LastModifiedDate

10/09/2006